Exploration of CRISPR/Cas9-based gene editing as therapy for osteoarthritis.
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ABSTRACT: OBJECTIVES:Osteoarthritis (OA) is a painful and debilitating disease and it is associated with aberrant upregulation of multiple factors, including matrix metalloproteinase 13 (MMP13), interleukin-1? (IL-1?) and nerve growth factor (NGF). In this study, we aimed to use the CRISPR/Cas9 technology, a highly efficient gene-editing tool, to study whether the ablation of OA-associated genes has OA-modifying effects. METHODS:We performed intra-articular injection of adeno-associated virus, which expressed CRISPR/Cas9 components to target each of the genes encoding MMP13, IL-1? and NGF, in a surgically induced OA mouse model. We also tested triple ablations of NGF, MMP13 and IL-1?. RESULTS:Loss-of-function of NGF palliates pain but worsens joint damage in the surgically induced OA model. Ablation of MMP13 or IL-1? reduces the expression of cartilage-degrading enzymes and attenuates structural deterioration. Targeting both MMP13 and IL-1? significantly mitigates the adverse effects of NGF blockade on the joints. CONCLUSIONS:CRISPR-mediated ablation of NGF alleviates OA pain, and deletion of MMP13-1? or IL-1? attenuates structural damage in a post-traumatic OA model. Multiplex ablations of NGF, MMP13 and IL-1? provide benefits on both pain management and joint structure maintenance. Our results suggest that CRISPR-based gene editing is useful for the identification of promising drug targets and the development of feasible therapeutic strategies for OA treatment.
SUBMITTER: Zhao L
PROVIDER: S-EPMC6621547 | biostudies-literature | 2019 May
REPOSITORIES: biostudies-literature
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